Abstract
Spandler (2004) identifies the need to move from reactionary to progressive arguments about direct payments in the UK to enable progress towards a critical assessment of direct payments to users of care services. This reply advocates a strategic view of direct payments within the social care system, by looking at the context within which direct payments operate and system issues that affect the whole social care sector. The discussion advances the hypothesis that critical assessment of direct payments needs to recognize their impact on the whole social care sector and not just on those people who elect to receive them.
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